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Martin-Espinosa N, Martínez-Vizcaíno V, Garrido-Miguel M, Díez-Fernández A, Isabel Cobo-Cuenca A, Solera-Martínez M. Decrease in the prevalence of hypertension in Spanish schoolchildren from 2010 to 2017: Cuenca Study. Eur J Cardiovasc Nurs 2023; 22:184-192. [PMID: 35714066 DOI: 10.1093/eurjcn/zvac029] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/06/2021] [Revised: 03/18/2022] [Accepted: 03/18/2022] [Indexed: 11/13/2022]
Abstract
AIMS To examine the secular trends in blood pressure measurements and normal or high blood pressure classification among Spanish schoolchildren from 2010 to 2017, to analyze the persistence in the blood pressure category reported in 2017 compared with 2013 in those children born in 2007-08 and to compare in this cohort the prevalence of high blood pressure using both definitions, the 2004 and 2017 guidelines. METHODS AND RESULTS The data for the prevalence/trend analysis were obtained from cross-sectional analyses conducted in 2010, 2013, and 2017 of 2709 schoolchildren aged 4-6 and 8-11 years from 22 schools in the province of Cuenca, Spain. The data for the longitudinal analysis were obtained from cross-sectional analyses of measurements gathered in 2013 and 2017 in the same cohort of children (n = 275). The prevalence of normal blood pressure increased by 5.4% in children aged 4-6 years from 2013 to 2017 and by 2.2% in children aged 8-11 from 2010 to 2017. This increase was mainly driven by a decrease in the children classified in any stage of hypertension by 4.2% and 2.3% in each age range, respectively. In the same birth cohort, there was an increase of 7.6% in normal blood pressure prevalence. CONCLUSION The high blood pressure prevalence in Spanish children has clearly decreased over the last decade, but is still important to detect this condition to design specific school-based interventions and the evaluation of children classified as hypertensive who might need medical supervision and treatment.
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Affiliation(s)
- Noelia Martin-Espinosa
- Grupo de Investigación Multidisciplinar en Cuidados (IMCU), Universidad de Castilla-La Mancha, Avenida Carlos III, s/n, 45004 Toledo, Spain.,Facultad de Fisioterapia y Enfermería, Universidad de Castilla-La Mancha, Avenida Carlos III, s/n, 45004 Toledo, Spain
| | - Vicente Martínez-Vizcaíno
- Centro de Estudios Sociosanitarios, Universidad de Castilla-La Mancha, C/Santa Teresa Jornet, s/n, 16071 Cuenca, Spain.,Faculty of Health Sciences, Autonomous University of Chile, Cinco Pte. no 1670, Talca, Chile
| | - Miriam Garrido-Miguel
- Centro de Estudios Sociosanitarios, Universidad de Castilla-La Mancha, C/Santa Teresa Jornet, s/n, 16071 Cuenca, Spain.,Facultad de Enfermería de Albacete, Universidad de Castilla-La Mancha, Avenida de España, s/n, 02001 Albacete, Spain
| | - Ana Díez-Fernández
- Centro de Estudios Sociosanitarios, Universidad de Castilla-La Mancha, C/Santa Teresa Jornet, s/n, 16071 Cuenca, Spain.,Facultad de Enfermería de Cuenca, Universidad de Castilla-La Mancha, Camino del Pozuelo, s/n, 16071 Cuenca, Spain
| | - Ana Isabel Cobo-Cuenca
- Grupo de Investigación Multidisciplinar en Cuidados (IMCU), Universidad de Castilla-La Mancha, Avenida Carlos III, s/n, 45004 Toledo, Spain.,Facultad de Fisioterapia y Enfermería, Universidad de Castilla-La Mancha, Avenida Carlos III, s/n, 45004 Toledo, Spain
| | - Montserrat Solera-Martínez
- Centro de Estudios Sociosanitarios, Universidad de Castilla-La Mancha, C/Santa Teresa Jornet, s/n, 16071 Cuenca, Spain.,Facultad de Enfermería de Cuenca, Universidad de Castilla-La Mancha, Camino del Pozuelo, s/n, 16071 Cuenca, Spain
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Vanhelst J, Baudelet JB, Thivel D, Ovigneur H, Deschamps T. French youth trends in prevalence of overweight, obesity and underweight from 2008 to 2018. BMC Res Notes 2022; 15:208. [PMID: 35706045 PMCID: PMC9202212 DOI: 10.1186/s13104-022-06091-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/15/2022] [Accepted: 06/01/2022] [Indexed: 11/10/2022] Open
Abstract
Objective Because the prevalence overweight and obesity remains high during adolescence in Europe, tracking weight status in children and adolescents is needed. We aimed to estimate French trends in the prevalence of weight status in children and adolescent from 2008 to 2018. Results The prevalence of overweight and obesity were higher in boys (P < 0.0001). Underweight was more prevalent in girls (P < 0.0001). In adolescents aged 16–17 years old, a stabilization was observed for overweight and obesity whereas the prevalence of underweight increased significantly in boys (P < 0.0001). For children and adolescents aged to 10–12 and 13–15 years old, the obesity and overweight decreased significantly while the underweight was increased for both sexes aged 10–12 years (P < 0.0001). Underweight increased in boys aged 13–15 years (P < 0.0001) while that a stagnation was observed in girls. These encouraging results show the permanent need to develop preventive strategies promoting an healthy active living in order to modify the lifestyle for adolescents with underweight, overweight or obesity.
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Affiliation(s)
- Jérémy Vanhelst
- INFINITE-Institute for Translational Research in Inflammation (U-1286), Université de Lille, CHU Lille, Inserm, 59000, Lille, France.
| | - Jean-Benoît Baudelet
- Congenital & Pediatric Heart Unit, Institut Cœur Poumon, Univ. Lille, CHU Lille, 59000, Lille, France
| | - David Thivel
- AME2P Laboratory, CRNH Auvergne, Univ. Clermont Auvergne, 63000, Clermont-Ferrand, France
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Øvrebø B, Bergh IH, Stea TH, Bere E, Surén P, Magnus PM, Juliusson PB, Wills AK. Overweight, obesity, and thinness among a nationally representative sample of Norwegian adolescents and changes from childhood: Associations with sex, region, and population density. PLoS One 2021; 16:e0255699. [PMID: 34343207 PMCID: PMC8330951 DOI: 10.1371/journal.pone.0255699] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/20/2021] [Accepted: 07/22/2021] [Indexed: 01/12/2023] Open
Abstract
Objective To estimate the prevalence of overweight, obesity, and thinness among Norwegian 13-year-olds and the changes from childhood (age 8 years) to adolescence (age 13 years); and to explore associations with sex, region, and population density from childhood to adolescence. Design We used longitudinal, anthropometric data collected by school health nurses conducted in Norway. Weight status was classified according to the International Obesity Task Force cut-offs for overweight, obesity, and thinness, and according to mean body mass index (kg/m2). Participants The Norwegian Youth Growth Study, consisting of a nationally representative sample of Norwegian 13-year-olds (n = 1852; 50.7% girls), which is a part of The Norwegian Growth Cohort. Results Among 13-year-old Norwegians, the prevalence of overweight (including obesity), obesity, and thinness was 15.8%, 2.5%, and 7.3%, respectively. There was little evidence that these had changed from 8 to 13 years. From 8 to 13 years, the odds of obesity was highest in the Northern region of Norway compared to the South-East (odds ratio (OR): 3.78 (95% confidence interval (CI): 1.13, 12.65; p = 0.036) and in rural areas (OR: 4.76 (95% CI: 1.52, 14.90; p = 0.027). Over the same age period, girls had a trend towards a higher odds of thinness compared to boys (OR: 1.65 (95% CI: 0.98, 2.78; p = 0.057). Conclusions In Norway, the prevalence of overweight, obesity, and thinness among 13-year-olds seem to be established by age 8 years. The prevalence of obesity was higher in the North and in rural areas. The results indicate the continued need for early prevention and treatment, and targeted interventions to certain areas.
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Affiliation(s)
- Bente Øvrebø
- Department of Sport Science and Physical Education, University of Agder, Kristiansand, Norway
- Department of Health and Inequalities, Norwegian Institute of Public Health, Oslo, Norway
- Centre for Evaluation of Public Health Measures, Norwegian Institute of Public Health, Oslo, Norway
- * E-mail:
| | - Ingunn H. Bergh
- Department of Health and Inequalities, Norwegian Institute of Public Health, Oslo, Norway
| | - Tonje H. Stea
- Department of Health and Nursing Sciences, University of Agder, Kristiansand, Norway
| | - Elling Bere
- Department of Sport Science and Physical Education, University of Agder, Kristiansand, Norway
- Department of Health and Inequalities, Norwegian Institute of Public Health, Oslo, Norway
- Centre for Evaluation of Public Health Measures, Norwegian Institute of Public Health, Oslo, Norway
| | - Pål Surén
- Department of Child Health and Development, Norwegian Institute of Public Health, Oslo, Norway
| | - Per M. Magnus
- Center for Fertility and Health, Norwegian Institute of Public Health, Oslo, Norway
| | - Petur B. Juliusson
- Department of Health Registry Research and Development, Norwegian Institute of Public Health, Bergen, Norway
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Alcántara-Porcuna V, Sánchez-López M, Martínez-Vizcaíno V, Martínez-Andrés M, Ruiz-Hermosa A, Rodríguez-Martín B. Parents' Perceptions on Barriers and Facilitators of Physical Activity among Schoolchildren: A Qualitative Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:3086. [PMID: 33802746 PMCID: PMC8002392 DOI: 10.3390/ijerph18063086] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/17/2021] [Revised: 03/07/2021] [Accepted: 03/08/2021] [Indexed: 12/16/2022]
Abstract
Given that physical activity (PA) plays an important role in early childhood, understanding the factors that affect the practice of PA at an early age could help develop effective strategies for overcoming barriers and increasing activity levels in this age group. A qualitative study was conducted based on grounded theory aimed at exploring the perceptions of mothers and fathers from Cuenca and Ciudad Real (Castilla La Mancha, Spain) regarding barriers and facilitators of physical activity of their children during the adiposity rebound period. Data were collected using focus groups involving 46 parents of children in the 3rd grade of pre-school and 1st grade of elementary school. During the analysis, the socio-ecological model and grounded theory were used. The barriers encountered were the preferences of children for sedentary activities (individual factors), academic tasks as a main priority of parents, the influence of older siblings and the unfavorable school environment (microsystem), the lack of family conciliation (mesosystem), and barriers related to the built environment or lack of facilities for physical activity (exosystem). Facilitators were the preferences for active games (individual factors), parental models including the co-participation of parents in activities, the influence of friends, living in large homes, the support provided by teachers and the school (microsystem), living in rural areas, having sufficient facilities, favorable weather conditions (exosystem), and the existence of free or subsidized activities (macro system). Programs aimed at promoting PA in early childhood should include strategies that address contextual factors and not only focus on individual factors related to the child.
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Affiliation(s)
- Vanesa Alcántara-Porcuna
- Department of Nursing, Physioterapy and Occupational Therapy, Faculty of Health Sciences, Universidad de Castilla-La Mancha, 45600 Talavera de la Reina, Toledo, Spain; (V.A.-P.); (B.R.-M.)
| | - Mairena Sánchez-López
- Department of Physical, Artistic and Music Education Didactics, Faculty of Education, Universidad de Castilla-La Mancha, 16071 Ciudad Real, Spain;
- Social and Health Care Research Center, Department of Nursing, Physioterapy and Occupational Therapy, Universidad de Castilla-La Mancha, 16071 Cuenca, Spain; (V.M.-V.); (M.M.-A.)
| | - Vicente Martínez-Vizcaíno
- Social and Health Care Research Center, Department of Nursing, Physioterapy and Occupational Therapy, Universidad de Castilla-La Mancha, 16071 Cuenca, Spain; (V.M.-V.); (M.M.-A.)
- Faculty of Medicine, Universidad Autónoma de Chile, 3460000 Talca, Chile
| | - María Martínez-Andrés
- Social and Health Care Research Center, Department of Nursing, Physioterapy and Occupational Therapy, Universidad de Castilla-La Mancha, 16071 Cuenca, Spain; (V.M.-V.); (M.M.-A.)
- Department of Nursing, Physioterapy and Occupational Therapy, Faculty of Nursing, Universidad de Castilla-La Mancha, 02006 Albacete, Spain
| | - Abel Ruiz-Hermosa
- Department of Physical, Artistic and Music Education Didactics, Faculty of Education, Universidad de Castilla-La Mancha, 16071 Ciudad Real, Spain;
- Social and Health Care Research Center, Department of Nursing, Physioterapy and Occupational Therapy, Universidad de Castilla-La Mancha, 16071 Cuenca, Spain; (V.M.-V.); (M.M.-A.)
| | - Beatriz Rodríguez-Martín
- Department of Nursing, Physioterapy and Occupational Therapy, Faculty of Health Sciences, Universidad de Castilla-La Mancha, 45600 Talavera de la Reina, Toledo, Spain; (V.A.-P.); (B.R.-M.)
- Social and Health Care Research Center, Department of Nursing, Physioterapy and Occupational Therapy, Universidad de Castilla-La Mancha, 16071 Cuenca, Spain; (V.M.-V.); (M.M.-A.)
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